Advertisement

World Journal of Surgery

, Volume 42, Issue 10, pp 3312–3315 | Cite as

Alternative Laparoscopic Intracorporeal Pringle Maneuver by Huang’s Loop

  • Jian-Wei Huang
  • Wen-Lung Su
  • Shen-Nien Wang
Original Scientific Report with Video

Abstract

Aim

This paper aims to describe an intracorporeal tourniquet method for laparoscopic Pringle maneuver (PM).

Methods

One shortened Foley tube with side-hole on the tip was put into the abdomen. Then, the tail was pulled out through the side-hole to make a loop to encircle porta hepatis for inflow control.

Result

It is easy to keep the tension by a metallic clip, and when released, the clip can be removed and the loop loosened.

Conclusion

Therefore, PM could be performed inside the abdomen without special instrument nor extra trocar port. The intracorporeal Pringle maneuver with Huang’s loop could be routinely used during laparoscopic liver resection even for a laparoscopic beginner because it is so easily learnt, safe, and effective.

Notes

Compliance with ethical standards

Conflict of interest

All the authors declare that they have no conflict of interests.

Supplementary material

Supplementary material 1 (MP4 139975 kb)

References

  1. 1.
    Dua MM, Worhunsky DJ, Hwa K et al (2015) Extracorporeal Pringle for laparoscopic liver resection. Surg Endosc 29:1348–1355CrossRefPubMedGoogle Scholar
  2. 2.
    Rotellar F, Pardo F, Bueno A et al (2012) Extracorporeal tourniquet method for intermittent hepatic pedicle clamping during laparoscopic liver surgery: an easy, cheap, and effective technique. Langenbecks Arch Surg 397:481–485CrossRefPubMedGoogle Scholar
  3. 3.
    Piardi T, Lhuaire M, Memeo R et al (2016) Laparoscopic Pringle maneuver: how we do it? Hepatobiliary Surg Nutr 5(4):345–349CrossRefPubMedPubMedCentralGoogle Scholar
  4. 4.
    Chao YJ, Wang CJ, Shan YS (2012) Technical notes: a self-designed, simple, secure, and safe six-loop intracorporeal Pringle’s maneuver for laparoscopic liver resection. Surg Endosc 26:2681–2686CrossRefPubMedGoogle Scholar
  5. 5.
    Komeda K, Hayashi M, Inoue Y et al (2013) Clinical usefulness of endo intestinal clips during Pringle’s maneuver in laparoscopic liver resection: a technical report. Surg Laparosc Endosc Percutan Tech 23:e103–e105CrossRefPubMedGoogle Scholar
  6. 6.
    Maehara S, Adachi E, Shimada M, et al (2007) Clinical usefulness of biliary scope for Pringle’s maneuver in laparoscopic hepatectomy. Am Coll Surg doi:  https://doi.org/10.1016/j.jamcollsurg.06297

Copyright information

© Société Internationale de Chirurgie 2018

Authors and Affiliations

  1. 1.Division of General SurgeryKaohsiung Medical University HospitalKaohsiungTaiwan
  2. 2.Division of General SurgeryKaohsiung Municipal Ta-Tung HospitalKaohsiungTaiwan

Personalised recommendations